Provider Demographics
NPI:1457066672
Name:ZAPATA, ISAIAH MANUEL I
Entity Type:Individual
Prefix:MR
First Name:ISAIAH
Middle Name:MANUEL
Last Name:ZAPATA
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 NAPOLEON RD APT B14
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-4631
Mailing Address - Country:US
Mailing Address - Phone:419-378-8624
Mailing Address - Fax:
Practice Address - Street 1:300 NAPOLEON RD APT B14
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-4631
Practice Address - Country:US
Practice Address - Phone:419-378-8624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No374U00000XNursing Service Related ProvidersHome Health Aide